Organization Active NPI

Cardiovascular Consultants Medical Group, Inc.

  • Interventional Cardiology Physician
  • Dublin, CA
National Provider Identifier
1720225808
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC.
Practice address
6380 Clark Ave
Dublin, CA 94568-3036
Phone
(925) 277-1900
Fax
(925) 277-1568
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chelly Winkler
Title
Business Office Manager
Phone
(925) 975-5944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

6380 Clark Ave
Dublin, CA 94568-3036

Mailing address

2855 Mitchell Dr Ste 223
Walnut Creek, CA 94598-1609
Phone (925) 975-5930

National Provider Directory

National Provider Directory

Locations

6380 Clark Ave
Dublin, CA 94568
Phone (925) 277-1900

365 Hawthorne Ave
Ste 201
Oakland, CA 94609
Phone (510) 204-8383

5201 Norris Canyon Rd
Ste 220
San Ramon, CA 94583
Phone (925) 277-1900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1720225808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MITCHELL DR STE 223",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981609",
            "telephone_number": "925-975-5930",
            "fax_number": "925-975-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 CLARK AVE",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683036",
            "telephone_number": "925-277-1900",
            "fax_number": "925-277-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "CHELLY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "925-975-5944"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.